Tongao (Calcium Leucovorin) – Folinic Acid Rescue | HongKong DengYue Medicine

  • Generic Name/Brand Name: ​Calcium Leucovorin/Tongao
  • Indications: Chemotherapy rescue,folate deficiency,megaloblastic anemia
  • Dosage Form: ​Injection
  • Specification: 50 mg/100 mg/200 mg/350 mg × 1 vial

Calcium Leucovorin Application Scope

Calcium Leucovorin for Injection is indicated for:

  • Chemotherapy Rescue: Mitigates toxicity from high-dose methotrexate therapy in conditions like osteosarcoma.

  • Folic Acid Antagonist Overdose: Counteracts effects of inadvertent overdosages of folic acid antagonists.

  • Megaloblastic Anemia Treatment: Addresses megaloblastic anemias due to folic acid deficiency when oral therapy is not feasible.

  • Colorectal Cancer Therapy: Enhances the efficacy of fluorouracil in the palliative treatment of advanced colorectal cancer.

    tongao calcium leucovorin
    tongao calcium leucovorin

Calcium Leucovorin Characteristics

  • Ingredients: Calcium Leucovorin

  • Properties:​ Sterile, preservative-free solution with a pH of 7.8

  • Packaging Specification:​ Available in single-dose vials containing 50 mg, 100 mg, 200 mg, or 350 mg

  • Storage:​ Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F)

  • Expiry Date: Refer to the packaging for specific expiration information

  • Executive Standard: ​USP (United States Pharmacopeia)

  • Approval Number: Refer to the FDA label for specific approval details

  • Date of Revision: Refer to the FDA label for the most recent revision date

  • Manufacturer: Produced by various pharmaceutical companies; refer to specific product labeling for details

Guidelines for the Use of Calcium Leucovorin

  • Dosage and Administration:

    • Recommended Dose: Dosing varies based on the indication and patient-specific factors. Refer to the prescribing information for detailed dosing guidelines.

    • Administration: Administered via intravenous (IV) or intramuscular (IM) injection.

    • Missed Dose:​ If a dose is missed, administer as soon as possible unless it’s close to the time of the next dose. Do not double doses.

  • Adverse Reactions:

    • Common Adverse Reactions: Fever, nausea, vomiting, diarrhea, stomatitis, and fatigue.

    • Serious Adverse Reactions: Hypersensitivity reactions, including anaphylactoid reactions and urticaria.

  • Contraindications:

    • Pernicious anemia and other megaloblastic anemias secondary to vitamin B12 deficiency.

    • Hypersensitivity to leucovorin calcium or any component of the formulation.

  • Precautions:

    • Administration Route: Do not administer intrathecally; may be harmful or fatal if given intrathecally.

    • Monitoring: Monitor serum methotrexate concentrations during therapy.

    • Drug Interactions: Leucovorin calcium may enhance the toxicity of 5-fluorouracil.

Calcium Leucovorin Interactions

  • 5-Fluorouracil: Leucovorin calcium may enhance the toxicity of 5-fluorouracil.

  • Folic Acid: Large amounts of folic acid may counteract the antiepileptic effect of phenobarbital, phenytoin, and primidone and increase the frequency of seizures in susceptible pediatric patients.

  • Intrathecal Administration: Leucovorin calcium may reduce the efficacy of intrathecally administered methotrexate.

 

Note:

  • If there is a new packaging for the drug, the new packaging shall prevail. The above information is sourced from DengYue Medicine.
  •  This content is for reference only. Prescription drugs must be used under a doctor’s guidance and purchased from authorized sources.
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